Junctional ectopic tachycardia as an AVNRT catheter ablation complication in children

Authors

  • Gabriel Cismaru 5th Department of Internal Medicine, Cardiology-Rehabilitation, ?Iuliu Hatieganu? University of Medicine and Pharmacy Cluj-Napoca, Romania https://orcid.org/0000-0002-7352-9584
  • Gelu Simu 5th Department of Internal Medicine, Cardiology-Rehabilitation, ?Iuliu Hatieganu? University of Medicine and Pharmacy Cluj-Napoca, Romania
  • Mihai Puiu 5th Department of Internal Medicine, Cardiology-Rehabilitation, ?Iuliu Hatieganu? University of Medicine and Pharmacy Cluj-Napoca, Romania
  • Gabriel Gusetu 5th Department of Internal Medicine, Cardiology-Rehabilitation, ?Iuliu Hatieganu? University of Medicine and Pharmacy Cluj-Napoca, Romania
  • Dana Pop 5th Department of Internal Medicine, Cardiology-Rehabilitation, ?Iuliu Hatieganu? University of Medicine and Pharmacy Cluj-Napoca, Romania
  • Dumitru Zdrenghea 5th Department of Internal Medicine, Cardiology-Rehabilitation, ?Iuliu Hatieganu? University of Medicine and Pharmacy Cluj-Napoca, Romania
  • Radu Rosu 5th Department of Internal Medicine, Cardiology-Rehabilitation, ?Iuliu Hatieganu? University of Medicine and Pharmacy Cluj-Napoca, Romania

DOI:

https://doi.org/10.15419/bmrat.v10i2.793

Keywords:

AVNRT, atrioventricular node reentrant tachycardia, JET, junctional ectopic tachycardia

Abstract

Junctional ectopic tachycardia (JET) occurs postoperatively or after catheter ablation in the region of Koch's triangle. The post-ablation incidence of JET reported in the medical literature is very low. We report the case of a 13-year-old female patient who underwent catheter ablation of the slow pathway for atrioventricular node reentrant tachycardia and subsequently developed JET. An accelerated automatic ectopic focus was found in the atrioventricular junction area due to radiofrequency applications. Treatment with metoprolol, ivabradine, propafenone, and amiodarone was ineffective in stopping the arrhythmia. However, JET resolved within 30 days without other antiarrhythmic drugs.

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Published

2023-02-28

Issue

Section

Case report

How to Cite

Junctional ectopic tachycardia as an AVNRT catheter ablation complication in children. (2023). Biomedical Research and Therapy, 10(2), 5545-5549. https://doi.org/10.15419/bmrat.v10i2.793

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